Watson Helen L, Downe Soo
Sheffield Teaching Hospitals NHS Foundation Trust, Jessop Wing, Tree Root Walk, Sheffield, S10 2SF, UK.
Research in Childbirth and Health (ReaCH) group, University of Central Lancashire, Preston, PR3 2LE, UK.
Reprod Health. 2017 Jan 5;14(1):1. doi: 10.1186/s12978-016-0263-4.
Freedom from discrimination is one of the key principles in a human rights-based approach to maternal and newborn health.
To review the published evidence on discrimination against Romani women in maternity care in Europe, and on interventions to address this.
A systematic search of eight electronic databases was undertaken in 2015 using the terms "Roma" and "maternity care". A broad search for grey literature included the websites of relevant agencies.
Standardised data extraction tables were utilised, quality was formally assessed and a line of argument synthesis was developed and tested against the data from the grey literature.
Nine hundred papers were identified; three qualitative studies and seven sources of grey literature met the review criteria. These revealed that many Romani women encounter barriers to accessing maternity care. Even when they are able to access care, they can experience discriminatory mistreatment on the basis of their ethnicity, economic status, place of residence or language. The grey literature revealed some health professionals held underlying negative beliefs about Romani women. There were no published research studies examining the effectiveness of interventions to address discrimination against Romani women and their infants in Europe. The Roma Health Mediation Programme is a promising intervention identified in the grey literature.
There is evidence of discrimination against Romani women in maternity care in Europe. Interventions to address discrimination against childbearing Romani women and underlying health provider prejudice are urgently needed, alongside analysis of factors predicting the success or failure of such initiatives.
免受歧视是基于人权的孕产妇和新生儿健康方法的关键原则之一。
回顾已发表的关于欧洲罗姆妇女在孕产保健中遭受歧视以及应对这种歧视的干预措施的证据。
2015年使用“罗姆人”和“孕产保健”等术语对八个电子数据库进行了系统检索。对灰色文献的广泛检索包括相关机构的网站。
使用标准化的数据提取表，对质量进行正式评估，并根据灰色文献中的数据制定并检验了一系列论证综合。
共识别出900篇论文；三项定性研究和七个灰色文献来源符合综述标准。这些研究表明，许多罗姆妇女在获得孕产保健方面遇到障碍。即使她们能够获得保健服务，也可能因种族、经济状况、居住地点或语言而遭受歧视性待遇。灰色文献显示，一些卫生专业人员对罗姆妇女持有潜在的负面看法。在欧洲，尚未有已发表的研究探讨解决对罗姆妇女及其婴儿歧视的干预措施的有效性。罗姆健康调解计划是灰色文献中确定的一项有前景的干预措施。
有证据表明欧洲罗姆妇女在孕产保健中受到歧视。迫切需要采取干预措施来解决对生育期罗姆妇女的歧视以及卫生服务提供者潜在的偏见，同时需要分析预测此类举措成败的因素。
